摘要
目的：了解北京地区三甲医院产科护理人员关于乙肝患者母乳喂养的认知和态度，为今后科学指导并提高这一特殊人群的母乳喂养率提供借鉴与参考方案。方法采用便利抽样的方法对来自北京地区7家三甲医院的186名在职产科护理人员进行问卷调查，调查其对乙肝患者能否母乳喂养的认知及对乙肝患者母乳喂养的态度。结果186名产科护理人员接受调查，其中仅64．6％的受访护士可以正确回答合并乙肝产妇能否提供母乳喂养相关问题；82．3％的护士错误地认为乳汁中 HBV DNA 滴度高低对母乳喂养有影响；仅有29．6％的受访护士知晓《乙型肝炎病毒母婴传播预防临床指南》。调查其意愿时仅45．2％的护士表示支持乙肝产妇进行母乳喂养。不同职称护士在新生儿接受免疫阻断后能否母乳喂养及乙肝产妇咨询能否母乳喂养时，护士是否会鼓励其进行母乳喂养等认知和态度方面差异有统计学意义。结论医院及科室管理者应重视产科护理人员对新知识、新技术的持续不断的学习与关注，落实继续教育的实施，增强护理人员自我价值的认同感和对自我知识水平的自信心，为母婴安全提供科学、准确、有效的健康教育而努力。
Objective To understand obstetrical nurses′awareness and attitude to breastfeeding in patients with hepatitis B in level three class A hospitals in Beijing,so as to provide references for scientific guidance and increase of breastfeeding rate in this special population in the future.Methods Using convenience sampling method,questionnaires were delivered in 1 86 obstetrical nurses from 7 level three class A hospitals in Beijing,in order to investigate their awareness on whether patients with hepatitis B could feed infants with breast milk,and their attitude toward breastfeeding of patients with hepatitis B.Results A total of 1 86 obstetrical nurses were surveyed,of whom only 64.6% could correctly answer breastfeeding-related problems about patients with hepatitis B.82.3% of the surveyed obstetrical nurses falsely thought that level of HBV DNA titer in breast milk would affect breastfeeding.Only 29.6% of the surveyed nurses were aware of Clinical Guideline on Prevention of Mother-to-child Transmission.When surveying about their willingness,only 45.2% of the nurses supported the breastfeeding of patients with hepatitis B.Differences were statistically significant among nurses on their awareness and attitude toward whether newborn infants could be fed by breast milk from patients with hepatitis B after receiving immune block,and on whether the nurses would encourage puerperas with hypatitis B to feed their infants by breast milk when they were consulted by these puerperas.Conclusions Hospital and department managers should pay increasing attention to learning and awareness of new knowledge and new technologies of obstetrical nursing staff,by implementing continuing education,enhancing their acceptance of self-worth and their confidence in self knowledge level,so as to provide more scientific,accurate and effective health education for maternal and child safety.
作者
刘姗姗
赵丽亚
秦瑛
廖春丽
毛双
Zhao Liya Qin Ying Liao Chunli Mao Shuang(International Medical Department, Chinese Academy of Medical Sciences ＆ Peking Union Medical College Hospital, Beijing 100730, China)
出处
《中华现代护理杂志》
2016年第13期1798-1800,共3页
Chinese Journal of Modern Nursing
关键词
母乳喂养
肝炎
乙型
产科护理
认知
态度
Breastfeeding
Hepatitis,type B
Obstetrical nursing
Awareness
Attitude
